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2026 Conference Speaker Proposal Form

Speaker Proposal 2026

Presenter Information

All correspondence will be addressed to the lead presenter (detailed below) who will be responsible f it with any co-presenters.

Name
Name
First
Last
BS, MS, PhD, CPS, RN, etc.
Address
Address
City
State/Province
Zip/Postal
Is this one of your first presentations?
We are particularly excited to welcome speakers who are new to presenting or have only a few presentations under their belt. Our supportive atmosphere encourages both seasoned professionals and those in the early stages of their presenting journey to share their knowledge and experiences with an engaged and receptive audience.
0 of 200 max words
One paragraph bio to be used in conference promotional materials. 200 words max.

Co-Presenter(s)

Name
Name
First
Last
0 of 200 max words
One paragraph bio to be used in conference promotional materials. 200 words max
plus1 Add minus1 Remove

Session Information

Between 10-15 words that accurately reflect your content & draws the reader to your session description.
0 of 150 max words
150 words max (this length does not include your name, title, organization, or objectives). Share why your session will interest attendees by engaging their curiosity, stating who should attend, and how they will benefit from attending. Avoid fillers like "During this session, attendees will..."
0 of 150 max words
Workshops and Deep Dive sessions are designed to go beyond sharing information. They should provide attendees with something they can use in their prevention work. Briefly describe what practical tools, skills, or resources participants will gain from your session and how you will implement this in your facilitation.

Please make sure to include a sentence about this in your session description.

Examples include:

  • Action plans for putting prevention strategies into practice
  • Case studies or strategies adaptable across communities
  • Checklists or ready-to-use resources
  • Collaboration models that engage community sectors
  • Evaluation or reflection tools to measure and strengthen impact
  • Frameworks or guides that support local implementation
  • Hands-on activities that build new skills
  • Networking or small-group discussions that spark idea sharing

Learning Objectives

List  objectives using verbs consistent with Bloom's Taxonomy. Examples: Apply, Analyze, Evaluate, Describe, Create, Implement, etc. Please make sure the objectives are observable, measurable, and can be actively accomplished.

Session Primary Topic Area
Session Facilitation
Check all that apply.
Session Type
Check all that apply.
Session Time Preference
Check all that apply.
Level of Attendee Knowledge

Lead Presenter Honorariums and Travel Reimbursements

CPA is deeply appreciative of the valuable knowledge and time all presenters contribute to our annual event. We recognize the expertise and dedication you bring to our conference. As a non-profit organization, we rely on the support of conference funds to ensure our event's success. Any accommodations your organization can generously provide will be of great assistance and greatly appreciated, helping us continue our mission to provide quality education, training, and networking opportunities to statewide prevention professionals.

If you have a required honorarium, please enter it below, along with an estimate of your travel expenses.

$
$

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